Organization Active NPI

Conard Chiroparctic, PC

  • Chiropractor
  • Custer, SD
National Provider Identifier
1669567848
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
664 Issued in SD
Legal business name
CONARD CHIROPARCTIC, PC
Practice address
246 N 5TH St
Custer, SD 57730-1506
Phone
(605) 673-5971
Fax
(605) 673-5972
NPI assigned
Oct 4, 2006
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sandra Lee Conard, D.C.NPI 1689760399
Title
Chiropractor
Phone
(605) 673-5971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 664 SD Primary

Addresses

Primary practice location

246 N 5TH St
Custer, SD 57730-1506

Mailing address

246 N 5TH St
Custer, SD 57730-1506
Phone (605) 673-5971

Other identifiers 1

IdentifierTypeStateIssuer
7601470MedicaidSD

National Provider Directory

National Provider Directory

Locations

246 N 5th St
Custer, SD 57730
Phone (605) 673-5971

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1669567848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 N 5TH ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301506",
            "telephone_number": "605-673-5971",
            "fax_number": "605-673-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 N 5TH ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301506",
            "telephone_number": "605-673-5971",
            "fax_number": "605-673-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONARD CHIROPARCTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "CONARD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "605-673-5971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601470",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Custer, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.